SHERRY D STOUTIN MD NPI 1184707903

NPI Information

NPI: 1184707903
Provider Name: SHERRY D STOUTIN, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
2315 8TH ST
LEWISTON, ID
ZIP 83501
Phone: (208) 746-1383
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Sherry D Stoutin, MD is a general practice in Lewiston, ID. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Sherry D Stoutin, MD NPI is 1184707903. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2315 8TH ST
LEWISTON, ID
ZIP 83501-301
Phone: (208) 746-1383
Fax: (208) 298-4521

The enumeration date for this NPI number is 10/23/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		MD00040032	WASHINGTON	No
2	208D00000X	General Practice		M5696	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8118655	MEDICAID	WASHINGTON
2	69378	OTHER	WASHINGTON	WA LABOR & INDUSTRIES
3	1123670	MEDICARE ID-TYPE UNSPECIFIED	IDAHO	ID MEDICARE
4	B56921	MEDICARE UPIN	IDAHO
5	80094290	MEDICARE ID-TYPE UNSPECIFIED	IDAHO	ID RR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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